Return To Nature Retreat
Date: October 2-3, 2021, 9am-4:30pm
Location: SpiritWood Retreat, Priddis, AB
Contact us at: or 403-585-5243
First and Last Name *
Email *
Address *
Emergency Contact (first name, last name and phone number) *
Do you have any allergies? If so, please explain severity and care that may be required (ie. epi-pen, etc.)
Dietary restrictions (we will provide food that includes no restrictions, vegetarian and gluten free) *
Do you need assistance finding accommodation? *
Please read and check each item: *
Check here:
If Covid-19 restrictions related to gathering and/or food are in place, I understand that there may be need for adjustments as deemed by New Beginnings Health And Wellness staff and/or SpiritWood Retreat hosts.
I understand that New Beginnings Health And Wellness and SpiritWood Retreat staff are not responsible for lost or stolen items.
I understand that payment for the retreat is due upon registration to reserve my spot and I will be contacted to arrange payment by etransfer, paypal or credit card. I understand payment is due by no later than September 17, 2021.
I understand that if I cancel within the 2 weeks prior to October 2nd, I will not receive a refund. This is due to food and administration expenses.
Signature: Type Your Full Name *
Signature Date (Choose Today's Date) *
Time *
You will receive an email with your form responses.
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